Evidence map›Paper›PMID 16640452›Full record

ReviewClinical pharmacokinetics2006

Hypericum perforatum: a 'modern' herbal antidepressant: pharmacokinetics of active ingredients.

Mario Wurglics, Manfred Schubert-Zsilavecz

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical pharmacokinetics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 123 citations in OpenAlex.

  1. St John's wort for major depression.The Cochrane database of systematic reviews · 2008
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Documentary Analysis ofPharmaceuticals (Basel, Switzerland) · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Chemical Characterization and Antioxidant Activity of NineAntioxidants (Basel, Switzerland) · 2023
    Article
  11. Outstanding Antibacterial Activity ofLife (Basel, Switzerland) · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. AdvancedFrontiers in pharmacology · 2022
    Article
  17. Review
  18. An Integrated LC-ESI-MSMolecules (Basel, Switzerland) · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Mario WurglicsInstitute of Pharmaceutical Chemistry, ZAFES, J.W. Goethe University, Frankfurt am Main, Germany. Wurglics@pharmchem.uni-frankfurt.de
Manfred Schubert-Zsilavecz
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypericum perforatum (St John's Wort [SJW]) counts among the most favourite herbal drugs, and is the only herbal alternative to classic synthetic antidepressants in the therapy of mild to moderate depression. Several clinical studies have been conducted to verify the effectiveness of ethanolic or methanolic extracts of SJW. Alcoholic SJW extracts are a mixture of substances with widely varying physical and chemical properties and activities. Hyperforin, a phloroglucinol derivative, is the main source of pharmacological effects caused by the consumption of alcoholic extracts of SJW in the therapy of depression. However, several studies indicate that flavone derivatives, e.g. rutin, and also the naphthodianthrones hypericin and pseudohypericin, take part in the antidepressant efficacy. In contrast to the amount of documentation concerning clinical efficacy, oral bioavailability and pharmacokinetic data about the active components are rather scarce. The hyperforin plasma concentration in humans was investigated in a small number of studies. The results of these studies indicate a relevant plasma concentration, comparable with that used in in vitro tests. Furthermore, hyperforin is the only ingredient of H. perforatum that could be determined in the brain of rodents after oral administration of alcoholic extracts. The plasma concentrations of the hypericins were, compared with hyperforin, only one-tenth and, until now, the hypericins could not be found in the brain after oral administration of alcoholic H. perforatum extracts or pure hypericin. Until now, the pharmacokinetic profile of the flavonoids in humans after oral administration of an alcoholic H. perforatum extract has been investigated in only one study. More data are available for rutin and the aglycone quercetin after administration of pure substances or other flavonoid sources.

Indexed as

AnimalsAnthracenesAntidepressive AgentsBridged Bicyclo CompoundsClinical Trials as TopicDepressionFlavonoidsHumansHypericumPerylenePhloroglucinolPhytotherapyPlant ExtractsTerpenesAnthracenesAntidepressive AgentsBridged Bicyclo CompoundsFlavonoidshyperforinhypericinPerylenePhloroglucinolPlant ExtractspseudohypericinTerpenes

Identifiers

PMID16640452
OpenAlexW2043563630

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.